Lehne’s Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants (2nd Edition
Rosenthal Test Bank) EXAM QUESTIONS AND
DETAILED ANSWERS
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to have full
prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited prescriptive authority
for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
,c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration with a
pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with delirium
tremens requiring Ativan administration. The provider of care is not in the facility. Which action
by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic pain calls the
provider's office to request a refill on their oxycontin. Which action is most appropriate?
b. Schedule an appointment with the patient.
,Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed amoxicillin for
streptococcal pharyngitis reports new onset of a flat, itchy red rash on the chest and neck.
Which action is most important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three medications for
hypertension is diagnosed with COPD. Which action should be taken prior to prescribing
medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with diabetes reports losing
their job and an inability to purchase required medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently prescribed
hydrocodone calls to report they are unable to fill the prescription. Which factors could
contribute to the inability to fill the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a medication
prescribed for recurrent migraine headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed metronidazole
for bacterial vaginosis. Which patient history finding would be most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a metered-dose
inhaler containing albuterol for asthma. The medication label instructs the patient to administer
"two puffs every 4 hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that the medication is
always effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly diagnosed with diabetes
is to be discharged from the hospital. Which action should be taken first during medication
education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states that older adult
patients are at increased risk for hepatic side effects. Which action is most important when
prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Nurses and Physician Assistants (2nd Edition
Rosenthal Test Bank) EXAM QUESTIONS AND
DETAILED ANSWERS
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to have full
prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited prescriptive authority
for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
,c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration with a
pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with delirium
tremens requiring Ativan administration. The provider of care is not in the facility. Which action
by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic pain calls the
provider's office to request a refill on their oxycontin. Which action is most appropriate?
b. Schedule an appointment with the patient.
,Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed amoxicillin for
streptococcal pharyngitis reports new onset of a flat, itchy red rash on the chest and neck.
Which action is most important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three medications for
hypertension is diagnosed with COPD. Which action should be taken prior to prescribing
medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with diabetes reports losing
their job and an inability to purchase required medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently prescribed
hydrocodone calls to report they are unable to fill the prescription. Which factors could
contribute to the inability to fill the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a medication
prescribed for recurrent migraine headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed metronidazole
for bacterial vaginosis. Which patient history finding would be most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a metered-dose
inhaler containing albuterol for asthma. The medication label instructs the patient to administer
"two puffs every 4 hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that the medication is
always effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly diagnosed with diabetes
is to be discharged from the hospital. Which action should be taken first during medication
education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states that older adult
patients are at increased risk for hepatic side effects. Which action is most important when
prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
